Laboratory evaluation of phenotypic detection methods of methicillin-resistant Staphylococcus aureus

Although conventional antibiotic susceptibility tests are most commonly performed for methicillin-resistant Staphylococcus aureus (MRSA), the results of these phenotypic tests are dependent on the standardization of the culture conditions. The aim of the study was to evaluate the conventional phenot...

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Main Authors: Arunava Kali, Selvaraj Stephen, Sivaraman Umadevi
Format: Article
Language:English
Published: Elsevier 2014-12-01
Series:Biomedical Journal
Subjects:
Online Access:http://www.biomedj.org/article.asp?issn=2319-4170;year=2014;volume=37;issue=6;spage=411;epage=414;aulast=Kali
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author Arunava Kali
Selvaraj Stephen
Sivaraman Umadevi
author_facet Arunava Kali
Selvaraj Stephen
Sivaraman Umadevi
author_sort Arunava Kali
collection DOAJ
description Although conventional antibiotic susceptibility tests are most commonly performed for methicillin-resistant Staphylococcus aureus (MRSA), the results of these phenotypic tests are dependent on the standardization of the culture conditions. The aim of the study was to evaluate the conventional phenotypic screening tests in comparison to the mecA gene polymerase chain reaction (PCR). One hundred and two clinical isolates of MRSA identified by the oxacillin disk diffusion were subjected to PCR for the mecA gene and by the cefoxitin disk diffusion test and culture on oxacillin screen agar, mannitol salt agar, and methicillin-resistant Staphylococcus aureus Agar (MeReSA) selective medium, for MRSA. Although all 102 isolates were resistant in oxacillin and cefoxitin disk diffusion, 92 (90.1%) isolates were positive for the mecA gene. The sensitivities of the mannitol salt agar, MeReSA agar, and oxacillin screen agar were 89.13, 97.82, and 98.91%, respectively. The oxacillin screen agar may be recommended for confirming methicillin resistance in the disk diffusion test in resource-poor settings, where molecular methods are not available.
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spelling doaj.art-1c440e96e64b482986906462039e5c5c2022-12-22T02:20:45ZengElsevierBiomedical Journal2319-41702320-28902014-12-0137641141410.4103/2319-4170.132907Laboratory evaluation of phenotypic detection methods of methicillin-resistant Staphylococcus aureusArunava Kali0Selvaraj Stephen1Sivaraman Umadevi2Department of Microbiology, Mahatma Gandhi Medical College and Research Institute, Pondicherry, IndiaDepartment of Microbiology, Mahatma Gandhi Medical College and Research Institute, Pondicherry, IndiaDepartment of Microbiology, Mahatma Gandhi Medical College and Research Institute, Pondicherry, IndiaAlthough conventional antibiotic susceptibility tests are most commonly performed for methicillin-resistant Staphylococcus aureus (MRSA), the results of these phenotypic tests are dependent on the standardization of the culture conditions. The aim of the study was to evaluate the conventional phenotypic screening tests in comparison to the mecA gene polymerase chain reaction (PCR). One hundred and two clinical isolates of MRSA identified by the oxacillin disk diffusion were subjected to PCR for the mecA gene and by the cefoxitin disk diffusion test and culture on oxacillin screen agar, mannitol salt agar, and methicillin-resistant Staphylococcus aureus Agar (MeReSA) selective medium, for MRSA. Although all 102 isolates were resistant in oxacillin and cefoxitin disk diffusion, 92 (90.1%) isolates were positive for the mecA gene. The sensitivities of the mannitol salt agar, MeReSA agar, and oxacillin screen agar were 89.13, 97.82, and 98.91%, respectively. The oxacillin screen agar may be recommended for confirming methicillin resistance in the disk diffusion test in resource-poor settings, where molecular methods are not available.http://www.biomedj.org/article.asp?issn=2319-4170;year=2014;volume=37;issue=6;spage=411;epage=414;aulast=KaliCefoxitin disk diffusionmethicillin-resistant Staphylococcus aureusmecA geneoxacillin disk diffusionoxacillin screen agarpolymerase chain reaction
spellingShingle Arunava Kali
Selvaraj Stephen
Sivaraman Umadevi
Laboratory evaluation of phenotypic detection methods of methicillin-resistant Staphylococcus aureus
Biomedical Journal
Cefoxitin disk diffusion
methicillin-resistant Staphylococcus aureus
mecA gene
oxacillin disk diffusion
oxacillin screen agar
polymerase chain reaction
title Laboratory evaluation of phenotypic detection methods of methicillin-resistant Staphylococcus aureus
title_full Laboratory evaluation of phenotypic detection methods of methicillin-resistant Staphylococcus aureus
title_fullStr Laboratory evaluation of phenotypic detection methods of methicillin-resistant Staphylococcus aureus
title_full_unstemmed Laboratory evaluation of phenotypic detection methods of methicillin-resistant Staphylococcus aureus
title_short Laboratory evaluation of phenotypic detection methods of methicillin-resistant Staphylococcus aureus
title_sort laboratory evaluation of phenotypic detection methods of methicillin resistant staphylococcus aureus
topic Cefoxitin disk diffusion
methicillin-resistant Staphylococcus aureus
mecA gene
oxacillin disk diffusion
oxacillin screen agar
polymerase chain reaction
url http://www.biomedj.org/article.asp?issn=2319-4170;year=2014;volume=37;issue=6;spage=411;epage=414;aulast=Kali
work_keys_str_mv AT arunavakali laboratoryevaluationofphenotypicdetectionmethodsofmethicillinresistantstaphylococcusaureus
AT selvarajstephen laboratoryevaluationofphenotypicdetectionmethodsofmethicillinresistantstaphylococcusaureus
AT sivaramanumadevi laboratoryevaluationofphenotypicdetectionmethodsofmethicillinresistantstaphylococcusaureus